Verification of Benefits (VOB) Specialist – Ophthalmology Experience

Description

About the Role: 

Snapscale is seeking a skilled Verification of Benefits (VOB) Specialist with Ophthalmology experience to support a US-based Ophthalmology clinic in a remote setup. This role is responsible for verifying patients' insurance eligibility, benefits, and coverage before services are rendered, ensuring accurate patient financial information, minimizing claim denials, and delivering a seamless patient experience. The ideal candidate has hands-on experience with U.S. insurance verification, prior authorizations, and Ophthalmology clinic workflows.

Key Responsibilities:

• Verify patients' vision and medical insurance eligibility, benefits, copays, deductibles, coinsurance, out-of-pocket maximums, and coverage limitations
• Verify patients' insurance eligibility and benefits with commercial insurance providers, Medicare, Medicaid, and other payers
• Perform comprehensive Verification of Benefits (VOB) prior to scheduled appointments to ensure accurate coverage information
• Determine prior authorization requirements and initiate authorization requests when necessary
• Contact insurance carriers to resolve eligibility discrepancies, benefit questions, and authorization issues
• Document insurance verification details accurately within the clinic's EMR/EHR or practice management system
• Communicate insurance coverage, patient financial responsibility, and missing information to clinic staff
• Assist with same-day insurance verification requests and scheduling exceptions
• Answer inbound calls and assist patients with insurance-related inquiries
• Schedule, reschedule, confirm, and follow up on patient appointments as needed
• Maintain accurate patient records while ensuring HIPAA compliance and adherence to clinic policies

Perks:

• Health Maintenance Organization (HMO)
• Competitive pay
• Government-mandated benefits
• 13th month pay
• Night differential pay
• Internet allowance
• Perfect attendance bonus
• Yearly salary increase
• Opportunities for career growth and development

Requirements

• Must have hands-on experience as a Verification of Benefits (VOB) Specialist supporting U.S.-based healthcare providers (required)
• Must have experience working with a U.S.-based Ophthalmology clinic or physician (required)
• Strong experience verifying insurance benefits with commercial insurance providers, Medicare, Medicaid, and other U.S. payers
• Strong understanding of U.S. health insurance plans and payer structures
• Knowledge of deductibles, copayments, coinsurance, out-of-pocket maximums, and prior authorization requirements
• Experience processing prior authorizations and communicating directly with insurance providers
• Experience using EMR/EHR systems and documenting insurance verification accurately
• Familiarity with CPT, ICD-10, and HCPCS codes is an advantage
• Medical billing and coding experience is a plus
• Strong written and verbal English communication skills
• Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment
• Strong customer service, analytical, and problem-solving skills
• Must be comfortable working in a remote setup with a reliable internet connection and dedicated workspace

Originally posted on Himalayas